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Meta-Analysis of Prophylactic Renal Replacement Therapy after Cardiac Catheterization in Patients with Chronic Kidney

Yutthapong Temtanakitpaisan1, Suchaorn Saengnipanthkul2, Wasawat Vutthikraivit3

  • 1Division of Cardiology, Bangkok Hospital Khon Kaen, Bangkok Dusit Medical Services Plc., Khon Kaen, Thailand; Faculty of Medicine, Mahasarakham University, Mahasarakham, Thailand.

Anatolian Journal of Cardiology
|August 21, 2023
PubMed

Insights

Prophylactic renal replacement therapy after cardiac catheterization may not reduce mortality in chronic kidney disease patients. However, it appears to decrease the need for hemodialysis during hospitalization and long-term renal replacement therapy.

Area of Science:

  • Nephrology
  • Cardiology
  • Critical Care Medicine

Background:

  • The efficacy of prophylactic renal replacement therapy (RRT) post-cardiac catheterization for chronic kidney disease (CKD) patients is uncertain.
  • Cardiac catheterization poses risks to renal function in CKD patients.

Conclusions:

  • Prophylactic RRT does not appear to lower 1-year mortality in CKD patients after coronary angiography.
  • Prophylactic RRT may reduce the risk of in-hospital hemodialysis and the need for RRT within one year.
Abstract

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